Published on:
    Journal of Cardiovascular Disease Research, 2010; 1(1):27-28
    Original Article | doi:10.4103/0975-3583.59982

    Cardiac Findings in Acute Yellow Oleander Poisoning

    Authors:

    Jalal Zamani, M.D.* and Amir Aslani, M.D.*

    Cardiology Department, Shiraz University of Medical Sciences, Shiraz, Iran

    *Address Correspondence to: A. Aslani, M.D. Namazee Hospital, Shiraz, Iran P.O. Box: 71935-1334 E-mail: draslani@yahoo.com Fax: +98-711-2277182 ; Tel: +98-711-2277181

    Abstract:

    Background:—The Yellow Oleander is an ornamental tree that is common throughout the tropics. Ingestion of its seeds results in a clinical picture similar to digoxin toxicity. Objectives:—The aim of this study was to evaluate cardiac findings in acute Yellow Oleander poisoning. Methods and Materials: —A total of 21 patients with history of Yellow Oleander ingestion were enrolled in this study. Results:—All symptomatic patients had conduction defects affecting the sinus node, theatrio-ventricular node or both. Patients showing cardiac arrhythmias that required specific management had significantly higher serum potassium concentrations. Conclusion: —Most of the symptomatic patients had conduction defects affecting sinus or atrio-ventricular nodes but few had atrial or ventricular arrhythmias typical of digoxin poisoning.

    Keywords: Yellow Oleander; Digoxin; Poisoning